Active NPI
Theodore Bens, DPM
- Podiatrist
- Taylor, MI
National Provider Identifier
1669562815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901001481
- Practice address
- 9224 Pelham Rd
Taylor, MI 48180-3832 - Phone
- (734) 284-7600
- Fax
- (313) 292-8430
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001481 | MI | Primary |
Addresses
Primary practice location
9224 Pelham Rd
Taylor, MI 48180-3832
Mailing address
9224 Pelham Rd
Taylor, MI 48180-3832
Phone (734) 284-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2649282 | Medicaid | MI | |
| 4858255590 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
226 N Nova Rd
Suite 184
Ormond Beach, FL 32174-5124
Phone (888) 808-0488
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 2263 |
| Removal or shaving of skin growth | 992 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D.H. Medical, LLC | Current | Accepting new patients | |
| Pardee Foot Clinic | Podiatrist | Current | Accepting new patients |
| Mary Rose Corporation | Past | Accepting new patients | |
| Robert a. Yagoobian, D.P.M., P.C. | Podiatrist | Past | Accepting new patients |
Locations
226 N Nova Rd
Ormond Beach, FL 32174
Phone (386) 235-1489
735 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 872-5190
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Port Orange, FL
- NPI 1477855815
-
- Podiatrist
- Daytona Beach, FL
- NPI 1881295079
-
- Adult Care Home Facility
- Brownstown, MI
- NPI 1679368468
-
- Podiatrist
- Taylor, MI
- NPI 1356543219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1669562815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9224 PELHAM RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803832",
"telephone_number": "734-284-7600",
"fax_number": "313-292-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9224 PELHAM RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803832",
"telephone_number": "734-284-7600",
"fax_number": "313-292-8430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENS",
"first_name": "THEODORE",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901001481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2649282",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "4858255590",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.